Transcript Patient Participation Group

The Stennack Surgery Patient
Participation Group
Appointments – Two years
on…What do we now offer?
We have 13000 Patients
registered with us, plus
temporary residents (often
over 20 per day during the
summer)
We are open from 8am-8pm
Monday-Friday including Bank
Holidays
We Currently Have…
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10 GP Partners
2 Salaried GPs
2 Nurse Practitioners
2 Senior Nurses
4 Practice Nurses
2 Assistant Nurse Practitioners
1 Health Care Assistant
GP Sessions
• The Partners work an agreed number of
sessions per week. Several of our GPs
work in other specialist clinics across the
County and are therefore not at the
Stennack Surgery every day
• The GPs currently work a total of 63
sessions per week
• Every GP has a buddy who covers their
work in their absence
What is a session?
• One session = Half day
• General Clinic = 15 x 10 minute appointments
• Joint Clinics & Tutorials with GP Trainees &
Foundation Doctors
• Same Day Doctor (Duty Doctor)
• Nursing Homes weekly rounds (We look after
five)
• Community Hospital ward round
• Women’s Health Clinic
• Minor Operation Clinics
How Many Appointments?
• We are currently offering about 900 GP/SDS
appointments each week – 160-200 per day
• We have pre-bookable, 48hr and “Book on the Day”
appointments
• The SDS offers over 50 appointments each day for acute
problems in addition to its walk-in for Minor Injuries
• Certain number of GP appointments released 48 hours
ahead
New
• On-line booking now available for GPs (Unbooked
appointments are released for general use 24 hrs ahead)
WEEK 1
Mon
Colin
Tues
Wed
LN7/6.30
Thurs
30
Dan
10
EDD/6.30
Vispm
Rupert
SDDam
Morrall
Vispm
15
TW/HDpm
30
40
SDDam
30
Will
Fri
EX/SDDpm
30
15
25
15
WHpm
30
Michele
SDDpm
60
JT/Tutam
15
EHpm
Vispm
15
105
15
EX/
Sarah
Frank
30
SDDam/6.30
55
SDDam/JT/Tutpm
15
EHam
0
45
SDDpm
30
5
15
65
Cwam/Vispm
15
20
35
Anna
SDDpm
30
Sam
15
45
15
60
15
55
25
35
6.30
15
15
Rupert
15
Rxpm
Manley
6.30
15
Aida
SDDam
Jane Lucas-
SDDpm
25
10
McGrath
30
ST3(SAR)Sophie Spencer
Carram/Vispm
15
videopm
14
23
SDLam/VTSpm SDSpm
13
0
68
EHam/JT/Tutpm
7
3
37
0
F2(RMO)
JT/Tutam/SDSpm
9
9
7
4
29
STUDENT(S)
0
SAME DAY
SERVICE
ST3
F2pm
0
Offered appts
173
182
120
137
122
734
FIGURES SHOWN IN RED ARE THE NUMBER OF APPOINTMENTS OFFERED PER DAY(Not allowing for supervision
slots)
Edward Hain
PD Practice
Development
Carr Carrick Lodge
MO Minor Ops
SDDpm Same Day Dr pm
EDD Duty Doc
Early Cover
CW Cornwallis
WH Womens Health
Vispm Early pm clinic & late
visits
LN7 Late night
to 7pm
SDD am Same Day Dr am
TUT Tutorials
TW/HD
Trewartha/Hea
dlands
JT
Joint surgery
EH
6.30 6.30-8.00
cover
What does the Same Day/Duty/oncall Doctor do?
• Triages/assesses requests for visits
• Offers on the day telephone consultations where
clinically urgent
• Deals with all clinically urgent matters requested by
community team e.g. District Nurses/Macmillan nurses
• Supports the SDS and the nursing team with complex
patients
• Triages & sees patients where appropriate on the day
when all other appointments are fully booked
• Can be as many as 50 encounters per session
What else do the GPs do?
• Visits (Over 30 pw which are fitted in over lunchtime
between am & pm clinics. One GP is also assigned to
late visits)
• Referrals, pathology processing, prescription
authorisation and related administration
• Meetings – Internal (Lunchtimes & evenings) & External
(Lead GPs are involved with the local/County groups)
• Medicals & reports
• Training of students from the Peninsula Medical School,
Foundation doctors and GP Trainees
• Research work
• Audits
• Practice Development – Business strategy
Nursing
The Nursing Team is highly experienced and qualified and
deal with a range of general nursing as well as chronic
disease management
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Blood tests
Blood Pressures
ECGs
Dressings & Wound care
Removal of Sutures
Child Immunisations
Diabetic Reviews
Coronary Heart Disease
Respiratory Reviews/Asthma/COPD
Ear irrigation
Travel Advice & immunisation
INR (patients on warfarin)
Contraception & Family Planning
Hypertension
Chronic Kidney Disease
General health Checks
Same Day Service
The demand for on the day appointments is very high. The
challenge is to offer pre-booked appointments as well as
ones for new/acute problems. The Same Day Service
was designed by the Partners to offer a nurse-led
service for these acute problems, which runs alongside
the Minor Injury Unit
• Open 8am – 8pm
• 50+ appointments each day
• Highly qualified Nurse practitioners, minor illness and
minor injury trained nurses (GPs will fill gaps)
• Reception are trained to ask questions to book the most
appropriate clinician
The continual challenge…
Trying to match the demand to supply of appointments
continues to be a challenge
What help is there…
• Tackling DNAs – letters
• The introduction of on-line bookings
Communication!!!
• PPG – new members
• Newsletters/Publicity
• Ambassadors